Memorial Hospital of Boscobel

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEMORIAL HOSPITAL OF BOSCOBEL

Practice address

525 N Wisconsin Ave
Muscoda, WI 53573-9251

Phone

(608) 739-3138

Fax

(608) 739-4130

NPI assigned

Sep 26, 2007

Organization subpart

Yes

Parent organization

MEMORIAL HOSPITAL OF BOSCOBELAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Randall

Title

President & Chairman of the Board

Phone

(608) 375-6285

Specialties & licenses 1

Addresses

Other names 1

• Boscobel Area Health Care Doing business as

Part of

Fennimore MNTL HLTH CL

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1932396744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PARKER ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051642",
            "telephone_number": "608-375-6217",
            "fax_number": "608-375-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N WISCONSIN AVE",
            "city": "MUSCODA",
            "state": "WI",
            "postal_code": "535739251",
            "telephone_number": "608-739-3138",
            "fax_number": "608-739-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF BOSCOBEL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL OF BOSCOBEL",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT & CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "608-375-6285"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boscobel Area Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy J. Franklin, N.P.
• Thomas John Gozinske, LPC-IT
• Lorilee Kay Hooks, LPN
• Kayla Kathryn Knowles, RN
• Memorial Hospital of Boscobel
• Christina A Miess, NP
• Erin Miess, APSW
• Muscoda Joint Fire District
• Muscoda Wi Opco LLC
• Danielle Pauls, LPTA

• All providers in Muscoda, WI
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.